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Individual

PHILLIP C RICHEMONT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-7100
(928) 336-7508
Mailing address
PO BOX 660969, ARCADIA, CA 91066-0969
(626) 447-0296
(626) 447-6057

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18163
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148438
AZ
01
18163
MEDICAL LICENSE
AZ
Enumeration date
07/10/2006
Last updated
10/07/2011
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